when you rotate through the hospital, they treat MD residents different from certificate residents. Specifically: Your own attendings and other services.
Plastics and ENT, while they have respect for omfs who work in the hospital, respect 6>4 from my experience. At the end of the day, we all get out and make $$, but its good to understand the academic landscape.
I went to a single degree program and did not feel this way at all. Neither did any of my other colleagues in single degree programs. Where I trained, omfs treated all facial trauma through a level 1 trauma center 6/7 days a week and ENT got trauma 1 day a week. Plastics didn’t get facial trauma. We got along great with plastics and ent and worked collaboratively with both services when we needed free flaps. On the one day a week that ent would take trauma call they would frequently just refer the entire case to omfs if the trauma involved teeth or a complicated mandible fracture. My best friend who is a dual degree graduate told me his single degree co resident operated literally 2 times as many cases as he did during their chief year and the attendings liked his co resident more than they liked him. How a rotating resident is treated has a lot to do with the relationship between department chairs. Where I trained, our chair (single degree) was absolutely admired and loved by everyone in the hospital. Historically we had 1-2 ORs just designated for omfs to be trained in those rooms, and were always given the best anesthesiologist attendings. We were also treated well on medicine, critical care and cardiologist - again because the relationship was good between departmental chairs.
its not just MDs. Tell people you are a dentist placing an orbital floor plate and doing a coronal flap and see what happens. Alot of 4 year programs are in not so great hospitals as that patient population pool is less likely to sue.
little timmy has an anterior table fx from football? OMFS doesn't use scopes to go intranasally to reduce said fx. We are all trained "old school"--->meaning we have to do a coronal flap for access, raise a pericranial flap? We can do it for sure. Is it worth a lawsuit for being a dentist should you **** it up? nah man. it isn't.
I believe respect and competence is at an individual level. I've met not so talented 6 years and talented 4 years. I've also met the opposite. But we live in a world where if someone meets you for the first time, your titles mean more to them.
Even at my program. we have both 4 and 6. The private hospital that both the 4 and 6 year rotate in doesn't let the majority of 4 year attendings take call there. they can only take call at the state funded tertiary care referral center. Are any new grads eager to take call at any site with residents? not really. b/c $$.
The difference is real in academics. its the rest of your life in the western world. probably 40 years of working professional life? just get the MD. its easier.
Also, when looking for a job, there are offices that won't hire 4 year guys. They want people with MDs
This couldn’t be further from reality. >95 percent of omfs graduating will not treat frontal sinus fractures following residency (or work in academics). Not because we can’t, it becomes logistically difficult to round and provide post operative care when you are busy in private practice. Those with MDs are absolutely not immune to lawsuits. One of my good colleagues who is a dual degree omfs gets two claims a year. If you have an anesthesia complication, your md is not going to save you. Likewise having an md does not prevent neurosurgeons and plastic surgeons from lawsuits. I can’t even believe I’m having to state the obvious.
yeah. DSOs don't care. But if there are offices looking for 6 years, they want a partner. With a partner, you get capital gains taxes on a ton of income.
You get taxed a ton as a W2 or 1099 with a DSO. even specialty one only offers stocks in the company. you are still employed.
Maybe you should finish your residency and start practicing first before you start giving unsolicited tax advice.
The argument to get an MD because group practices want a dual degree graduate is weak at best. The majority of all practicing oral surgeons are single degree. The harsh reality is that most private practices cannot even fill their associate positions. They have ads up and no one wants to work there. The compensation structure in a private practice associateship is not competitive. Many associates on a ‘partnership track’ leave within 2 years. Most private practices are DYING to have someone join.
there is no place for ego in our field tbh. this guy is a single degree omfs and probably did everything write and is getting crucified by the media. Maybe an MD would have prevented them from suing. who knows. Him telling dentists they shouldn't place implants makes him seem arrogant.
Also: nobody cares about your case log if half your flap patients die or the flap fails. They kick you out of the hospital. Your mandible fx gets a PE and passes away? best believe you get sued for being a dentist.
Dental schools have lax surgical standards. we all know that. Your internship experience and MD matter. Staying humble matters. Feeling respected matters. Just be prepared to eat some additional **** because you were too greedy, lazy, or arrogant to not get the MD over with should the opportunity have presented itself. You were def not poor because I guarantee, starting salaries are super high in our field.
Anyone who applies for a 6 year spot with a "I'm just trying to get in" normally doesn't get in. He has to WANT the spot. badly. Its like Giselle Bundchen is asking "why you". You should state "I'll do everything required. we were made to be. We fit like a jigsaw puzzle. This is what I want for the rest of my life. I would regret not coming here". That **** makes people feel good about their work they put in to make a program good.
As previously mentioned this is not an oral surgeon that you are trolling about. It’s a general dentist doing iv sedation.
Let me share with you a story, I was called by a colleague dual degree oral surgeon not too long ago because his patient was having uncontrollable hemorrhage after an orthognathic case. He left the same day for flight out of town on vacation with his family. He contacted me out of the blue (we’ve never spoken or met previously) to go see his patient because I was also privileged in the hospital. He also belonged to a large group practice where his partners refused to see his patient (they also held privileges at the hospital btw). I immediately dropped what I was doing and went to see his patient. After taking care of the problem he was always thankful to me for giving a hand when he needed it.
Everyone involved in the patients care was happy I showed up. I didn’t get paid for this I was just happy to help out a colleague.
Every provider will need help at some point.
Someday you will also need a hand.
You talk about not having an ego but your posts show the exact opposite.
